HomeMy WebLinkAbout2-Sub-agreements-1xPERMIT # ISSUE DATE
•
Robert Borkowski
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Venergy Group, LLC
(Type of Trade)
(Primary Contractor)
For the project located at 3130 Seminole Road, Fort Pierce, FL
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
_LZ,?
CONTRACTOR SIGNATURE (Qualifier)
Howard Ehrsam
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S T • (. J C � i
The foregoing instrument was signed before me this 2� day of
�# J 201&by i OVJrt�D CI+P.SANA
who is personally (mown S< or has produced a
as identification.
STAMP
Si re of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
Robert Borkowski
PRINT NAME
CKQ1ICY Y•LN S:i Y 19 [N:V Y BL`6`tIhLT:3 af7
State of Florida, Coun[y of
The Toregoing instrument was signed before me this _day of
who is personally known _or has produced
as identification.
STAMP
Signature of Notary Public
Jos�t,.n >JY1��a t�+I��
Print Name of Notary Public Print Name of No[ary Public
. iq:i,�Q., JOSHUA DAVID WHITE
MY COMMISSION N GG 981704
fd EXPIRES: August 24,2024
�S°odr�q°` Bonded Thru Notary Public Undeiwdlers
Revised 11/16/2016
PERMIT # ISSUE DATE 11
J
Robert Borkowski
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Venergy Group, LLC
(Type of Trade) (Primary Contractor)
For the project located at 3130 Seminole Road, Fort Pierce, FL
(Project Street Address or Property Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
Howard Ehrsam
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5-r . L v t , e'
The foregoing instrument was signed before me this Z- 6 day of
)ANvAr.4 ,201L by (+(WARD Cr12 sAr+�
who is personally known i�or has produced a
as identification.
�N:�Nf I
STAMP
shire of Notary Public
SOB -CONTRACTOR SIGNATURE (Qualifier)
Robert Borkowski
PRINT NAME
COUNTY CERTIFICATION NOMBER
State of Florida, County of
The foregoing instrument was signed before me this Jay of
who is personally Imown _or has produced
as identification.
Signature of Notflry Public
Print Name of Notary Public riot Name of Notary Public
. JOSHUADAVID WHITE
MY COMMISSION # GG 981104
'o EXPIRES: August 24,2024
•`•:g„orr�°e Bonded Tian Notary Public Undewitere
Revised I1/16/2016
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Robert Borkowski have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Venergy Group, LLC
(Type of Trade)
For the project located at 3130 Seminole Road, Fort Pierce, FL
(Primary Contractor)
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CON RACTOR SIGNATURE (Qualifier) _
Howard Ehrsam
PRINT NAME
COONTY CERTIFICATION NOMBER
State of Florida, County of Ty. � vC ir
The foregoing instrument was signed before me this any of
,A-n A-ffj203by H-aNARD ts-F SSA N`
who is personally known K or has produced a
as identification.
STAMP
i n re of Notary Public
SOB -CONTRACTOR SIGNATURE (Qualifier)
Robert Borkowski
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me [his _day of
20_, by
who is personally known _or has produced
fls identification.
Sigrmture of Notary Public
JOS+ivA bI.vrD INNIZ-c
Print Name of Notary Public Print Name of Notary Public
+> JOSHUA DAVID WHITE
MY COMMISSION It GO981704
'roe` EXPIRES: August 24, 2024
.�•'•:?;'ori�$+" Bonded Thm Notary Public Underxrilors
k�� of iT7
Revised 11/162016